Disorders of the Biliary Tract with MCC
Major Diagnostic Category 07·Grouped by diagnosis·FY 2027
MS-DRG 444 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Major Complication or Comorbidity (MCC). It maps to 72 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.6665 with a geometric mean length of stay of 4.3 days and an arithmetic mean of 5.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 1.6665 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 4.3 days (used for transfer payments)
- Average stay:
- 5.7 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
Diagnosis codes (72)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 444. 100% of the codes listed are billable.
- K80.00Calculus of gallbladder with acute cholecystitis without obstruction
- K80.01Calculus of gallbladder with acute cholecystitis with obstruction
- K80.10Calculus of gallbladder with chronic cholecystitis without obstruction
- K80.11Calculus of gallbladder with chronic cholecystitis with obstruction
- K80.12Calculus of gallbladder with acute and chronic cholecystitis without obstruction
- K80.13Calculus of gallbladder with acute and chronic cholecystitis with obstruction
- K80.18Calculus of gallbladder with other cholecystitis without obstruction
- K80.19Calculus of gallbladder with other cholecystitis with obstruction
- K80.20Calculus of gallbladder without cholecystitis without obstruction
- K80.21Calculus of gallbladder without cholecystitis with obstruction
- K80.30Calculus of bile duct with cholangitis, unspecified, without obstruction
- K80.31Calculus of bile duct with cholangitis, unspecified, with obstruction
- K80.32Calculus of bile duct with acute cholangitis without obstruction
- K80.33Calculus of bile duct with acute cholangitis with obstruction
- K80.34Calculus of bile duct with chronic cholangitis without obstruction
- K80.35Calculus of bile duct with chronic cholangitis with obstruction
- K80.36Calculus of bile duct with acute and chronic cholangitis without obstruction
- K80.37Calculus of bile duct with acute and chronic cholangitis with obstruction
- K80.40Calculus of bile duct with cholecystitis, unspecified, without obstruction
- K80.41Calculus of bile duct with cholecystitis, unspecified, with obstruction
- K80.42Calculus of bile duct with acute cholecystitis without obstruction
- K80.43Calculus of bile duct with acute cholecystitis with obstruction
- K80.44Calculus of bile duct with chronic cholecystitis without obstruction
- K80.45Calculus of bile duct with chronic cholecystitis with obstruction
- K80.46Calculus of bile duct with acute and chronic cholecystitis without obstruction
- K80.47Calculus of bile duct with acute and chronic cholecystitis with obstruction
- K80.50Calculus of bile duct without cholangitis or cholecystitis without obstruction
- K80.51Calculus of bile duct without cholangitis or cholecystitis with obstruction
- K80.60Calculus of gallbladder and bile duct with cholecystitis, unspecified, without obstruction
- K80.61Calculus of gallbladder and bile duct with cholecystitis, unspecified, with obstruction
- K80.62Calculus of gallbladder and bile duct with acute cholecystitis without obstruction
- K80.63Calculus of gallbladder and bile duct with acute cholecystitis with obstruction
- K80.64Calculus of gallbladder and bile duct with chronic cholecystitis without obstruction
- K80.65Calculus of gallbladder and bile duct with chronic cholecystitis with obstruction
- K80.66Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction
- K80.67Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction
- K80.70Calculus of gallbladder and bile duct without cholecystitis without obstruction
- K80.71Calculus of gallbladder and bile duct without cholecystitis with obstruction
- K80.80Other cholelithiasis without obstruction
- K80.81Other cholelithiasis with obstruction
- K81.0Acute cholecystitis
- K81.1Chronic cholecystitis
- K81.2Acute cholecystitis with chronic cholecystitis
- K81.9Cholecystitis, unspecified
- K82.0Obstruction of gallbladder
- K82.1Hydrops of gallbladder
- K82.2Perforation of gallbladder
- K82.3Fistula of gallbladder
- K82.4Cholesterolosis of gallbladder
- K82.8Other specified diseases of gallbladder
- K82.9Disease of gallbladder, unspecified
- K82.A1Gangrene of gallbladder in cholecystitis
- K82.A2Perforation of gallbladder in cholecystitis
- K83.01Primary sclerosing cholangitis
- K83.09Other cholangitis
- K83.1Obstruction of bile duct
- K83.2Perforation of bile duct
- K83.3Fistula of bile duct
- K83.4Spasm of sphincter of Oddi
- K83.5Biliary cyst
- K83.8Other specified diseases of biliary tract
- K83.9Disease of biliary tract, unspecified
- K87Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
- K91.5Postcholecystectomy syndrome
- Q44.2Atresia of bile ducts
- Q44.3Congenital stenosis and stricture of bile ducts
- R93.2Abnormal findings on diagnostic imaging of liver and biliary tract
- S36.122AContusion of gallbladder, initial encounter
- S36.123ALaceration of gallbladder, initial encounter
- S36.128AOther injury of gallbladder, initial encounter
- S36.129AUnspecified injury of gallbladder, initial encounter
- S36.13XAInjury of bile duct, initial encounter
